| Family Practice Clinic, Pc | |
|
220 E Beaver Ave Fort Morgan CO 80701-3103 | |
| (970) 867-8221 | |
| (970) 867-7124 |
| Full Name | Family Practice Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 220 E Beaver Ave, Fort Morgan, Colorado |
| Authorized Official Name and Position | Kevin Virgil Lindell (OWNER) |
| Authorized Official Contact | 9708678221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Clinic, Pc 220 E Beaver Ave Fort Morgan CO 80701-3103 Ph: (970) 867-8221 | Family Practice Clinic, Pc 220 E Beaver Ave Fort Morgan CO 80701-3103 Ph: (970) 867-8221 |
| NPI Number | 1235238866 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235238866 | NPI | - | NPPES |
| 01247196 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24719 (Colorado) | Primary |
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